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I was first diagnosed with a Pilonidal Sinus in late 2001 and underwent a closed wound operation in early 2002. As a normal-sized 16 year old girl it was understandably traumatic to be told you had a condition that mainly affected overweight, hairy men. My doctors seemed completely unsympathetic to the fact that I was mortified at my situation and terrified of the long-term effects and it is only in the last couple of years that I have begun to research this disease more myself and discovered that it's not as simple as being overweight, or male, or particularly hairy. Given my determination not to suffer a recurrence I have since religiously cleaned this area and for the first five years after my operation, regularly removed the hair from my lower back. I'll admit that I did stop the hair removal as never having been particularly hairy I didn't think it could be of much real benefit. Last year I had a couple of occasions when I felt some pressure around the wound site but as this only lasted a couple of days and never caused much pain or amounted in any discharge or abscesses I didn't pay much attention to them. Seven years after my first operation, about a month ago, I experienced my first abscess. This was cleaned and dressed by myself and went away after a few days however I am again experiencing some slight pressure around the wound site and two small holes have appeared which suggest two new tracts. I will be seeking medical advice on this but just wanted to ask, what it the worst that would happen if I just left these? What are the long-term consequences for PS sufferers who chose not to have an operation to remove the sinus tracts? As a now, slightly overweight, 23 year old I dread the thought of having another disfiguring, uncomfortable and frankly embarrassing operation and just wondered if anyone knew what the potential consequences of refusing an operation might be? Am I going to die from this?
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